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1700065687
MORA DENTAL CENTER
MORA, MN
NPI
1700065687
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Entity Type
Organization
Authorized Contact
RENY CHACKO
Dentist
320-679-2147
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: MN 11844)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
MORA DENTAL CENTER
547 UNION ST S
MORA, MN 55051-1817
Phone number: 320-679-2147
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Mailing Address
MORA DENTAL CENTER
547 UNION ST S
MORA, MN 55051-1817
Phone number: 320-679-2147
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